| NPI | 1942666763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FRANK CEO 608-663-8728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2016-01-08 |
| Last Update Date | 2016-01-08 |